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These changes will almost certainly result in substantial enrollment declines, particularly among younger and healthier individuals, causing the Medicaid population to (once again) skew older and sicker, and likely worsening the utilization, acuity, and MLR challenges that health plans are already experiencing

Sanjay Gupta 00:24:32 'You mentioned that these GLP-1 drugs, they've actually been around a lot longer than people realize

A few other states are planning or considering obesity drug restrictions in state fiscal year 2026 or 2027, and state interest in expanding coverage of obesity drugs is also waning according to this years survey, with states continuing to report cost as the key factor contributing to obesity drug coverage decisions